Individual
MS. KATHERINE B LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ICADC II, NCC
Contact information
Practice address
210 W JACKSON ST, RIDGELAND, MS 39157-2312
(601) 525-6093
Mailing address
409 HERNDON RD, LEAKESVILLE, MS 39451-5159
(601) 525-6093
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AD18-019L
MS
101YM0800X
Mental Health Counselor
1625790
—
101YP2500X
Professional Counselor
Primary
3080
MS
Other
Enumeration date
04/21/2022
Last updated
02/26/2024
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